| Theophilus V Addo, MD | |
|
300a Faunce Corner Rd, North Dartmouth, MA 02747-1280 | |
| (508) 973-1140 | |
| (508) 973-1145 |
| Full Name | Theophilus V Addo |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 32 Years |
| Location | 300a Faunce Corner Rd, North Dartmouth, Massachusetts |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750479283 | NPI | - | NPPES |
| 110442053A | Medicaid | MA | |
| S400361665 | Other | MA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 10713 (Rhode Island) | Secondary |
| 207R00000X | Internal Medicine | 216068 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southcoast Visiting Nurse Association Inc | Fairhaven, MA | Home health agency |
| Southcoast Hospitals Group | Fall river, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Steward Medical Group Inc | 2860688728 | 602 |
| Lifespan Physician Group Of Massachusetts Inc | 3870020399 | 286 |
| Entity Name | Southcoast Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821349317 PECOS PAC ID: 2860688728 Enrollment ID: O20130626000396 |
| Entity Name | Lifespan Physician Group Of Massachusetts Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235957713 PECOS PAC ID: 3870020399 Enrollment ID: O20241223001706 |
| Mailing Address | Practice Location Address |
|---|---|
| Theophilus V Addo, MD 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 Ph: (508) 996-3991 | Theophilus V Addo, MD 300a Faunce Corner Rd, North Dartmouth, MA 02747-1280 Ph: (508) 973-1140 |
Gregory D. Russell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 49 State Rd, North Dartmouth, MA 02747 Phone: 508-973-6650 Fax: 508-973-0345 | |
Curtis J. Mello, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 370 Faunce Corner Rd, North Dartmouth, MA 02747 Phone: 508-999-5666 Fax: 508-999-5151 | |
David J Shih, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 537 Faunce Corner Rd, North Dartmouth, MA 02747 Phone: 508-996-3991 Fax: 508-961-0876 | |
David Stebbins, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 49 State Road, Pequot Bldg, Ste 104, North Dartmouth, MA 02747 Phone: 508-973-6650 Fax: 508-973-0345 | |
Mr. Michael J Rocha, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 535 Faunce Corner Rd, Hawthorn Medical Assoicates, North Dartmouth, MA 02747 Phone: 508-996-3991 | |
Slawomir Pajak, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 537 Faunce Corner Rd, North Dartmouth, MA 02747 Phone: 508-996-3991 | |
Mark R. Desnoyers, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 49 State Road, Pequot Bldg, Ste 104, North Dartmouth, MA 02740 Phone: 508-973-6650 Fax: 508-973-0345 |